Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.24 / $2,950.00 / $6,915.00	Facility		$301.24	$2,950.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.86 / $142.44 / $262.23	Facility	52	$72.86	$142.44	$262.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $270.76 / $588.21	Professional		$5.19	$270.76	$588.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $186.56 / $436.22	Professional		$108.82	$186.56	$436.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $310.22 / $523.15	Professional		$171.91	$310.22	$523.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $174.12 / $192.77	Facility		$128.34	$174.12	$192.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $307.48 / $530.24	Professional		$304.14	$307.48	$530.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.62 / $1,000.62 / $1,000.62	Facility		$1,000.62	$1,000.62	$1,000.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $340.94 / $614.99	Professional		$179.80	$340.94	$614.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $272.77 / $629.01	Professional		$141.16	$272.77	$629.01
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $89.69 / $89.69 / $173.31	Professional	52	$89.69	$89.69	$173.31
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $409.79 / $621.91	Professional		$258.06	$409.79	$621.91